中华内科杂志 Pub Date : 2025-02-01 DOI: 10.3760/cma.j.cn112138-20241119-00765

X Y Zeng, M G Yin, Y Kang

引用次数: 0

[Gastric adenocarcinoma complicated by subarachnoid hemorrhage and cerebral infarction: a rare case of Trousseau syndrome and literature review]. [胃腺癌合并蛛网膜下腔出血合并脑梗死：罕见的Trousseau综合征1例并文献复习]。

中华内科杂志 Pub Date : 2025-02-01 DOI: 10.3760/cma.j.cn112138-20240827-00538

J Zhao, F Qiu, J L Feng

{"title":"[Gastric adenocarcinoma complicated by subarachnoid hemorrhage and cerebral infarction: a rare case of Trousseau syndrome and literature review].","authors":"J Zhao, F Qiu, J L Feng","doi":"10.3760/cma.j.cn112138-20240827-00538","DOIUrl":"10.3760/cma.j.cn112138-20240827-00538","url":null,"abstract":"Trousseau's syndrome is a thromboembolic disorder associated with malignancies, with cerebral infarction and hemorrhage representing common central nervous system complications in patients with cancer. This report details the diagnosis and treatment of a patient with gastric adenocarcinoma at our institution who concurrently developed cerebral infarction and subarachnoid hemorrhage. We performed a comprehensive literature review in the Wanfang and PubMed databases, searching for relevant studies on Trousseau's syndrome, cerebral embolism, and subarachnoid hemorrhage. A total of 42 patients (23 male and 19 female) with complete clinical data were included, including the present case.Our analysis showed that these patients had 10 different types of tumors, with lung cancer, gastric cancer, and ovarian cancer being the most prevalent. D-dimer levels were elevated in 38 cases, and 38 patients exhibited cerebral infarction affecting three or more vascular territories. Anticoagulant therapy was administered to 40 patients, 22 experienced a recurrence of cerebral infarction within a short timeframe, and 28 died within one year. Cases of Trousseau's syndrome associated with subarachnoid hemorrhage are rare and, to our knowledge, have not been previously reported in the literature. Patients experiencing strokes due to Trousseau's syndrome tend to have poor prognoses. However, targeted antitumor therapy in conjunction with anticoagulation may effectively reduce the risk of stroke recurrence and enhance patient outcomes.","PeriodicalId":68309,"journal":{"name":"中华内科杂志","volume":"64 2","pages":"148-151"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143043808","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Expert consensus on visualized tele-round and quality control management based on the improvement of clinical practice ability]. [基于临床实践能力提高的可视化远程会诊及质量控制管理专家共识]。

中华内科杂志 Pub Date : 2025-02-01 DOI: 10.3760/cma.j.cn112138-20241013-00680

M G Yin, X T Wang, R Zhou, D W Liu, Y Kang, Y Q Tang, X C Ma, J G Li, Z J Hu, H T Zhang, W He, L X Liu, W J Chen, R Zhu, J Wu, H M Zhang, L N Zhang, W Z Chai, S H Zhu, W B Xu, R Q Sun, X Y Yu, T J Song, Y Zhu, H Ren, S M Shanmu, Q Zhang, W Fang, X L Shang, L W Lyu, S H Cai, X Ding, H Zhang, G Feng, L P Zhang, B Hu, D Zhang, W D Wu, F Shen, X J Yang, Z G Zeng, Q B Huang, X Y Zeng, T J Zou, M L Peng, Y L Yao, M M Chen, H Lian, J M Wang, Y Li, F Qu, G Ye, R L Yang, X K Chen, S W Li, J X Wang, Y G Chao

{"title":"[Expert consensus on visualized tele-round and quality control management based on the improvement of clinical practice ability].","authors":"M G Yin, X T Wang, R Zhou, D W Liu, Y Kang, Y Q Tang, X C Ma, J G Li, Z J Hu, H T Zhang, W He, L X Liu, W J Chen, R Zhu, J Wu, H M Zhang, L N Zhang, W Z Chai, S H Zhu, W B Xu, R Q Sun, X Y Yu, T J Song, Y Zhu, H Ren, S M Shanmu, Q Zhang, W Fang, X L Shang, L W Lyu, S H Cai, X Ding, H Zhang, G Feng, L P Zhang, B Hu, D Zhang, W D Wu, F Shen, X J Yang, Z G Zeng, Q B Huang, X Y Zeng, T J Zou, M L Peng, Y L Yao, M M Chen, H Lian, J M Wang, Y Li, F Qu, G Ye, R L Yang, X K Chen, S W Li, J X Wang, Y G Chao","doi":"10.3760/cma.j.cn112138-20241013-00680","DOIUrl":"10.3760/cma.j.cn112138-20241013-00680","url":null,"abstract":"Turning to critical illness is a common stage of various diseases and injuries before death. Patients usually have complex health conditions, while the treatment process involves a wide range of content, along with high requirements for doctor's professionalism and multi-specialty teamwork, as well as a great demand for time-sensitive treatments. However, this is not matched with critical care professionals and the current state of medical care in China. Telemedicine, which shortens the distance of medical professionals and the gap of disease diagnosis and treatments in various regions through electronic information, can effectively solve the current problem. Therefore, there is an urgent need to develop a standardized, high-quality visualization telemedicine round system .Therefore, experts have been organized to search domestic and foreign literature on telemedicine round for critically ill patients and to form this consensus based on clinical experiences so as to further improve the level of critical care treatments in regions.","PeriodicalId":68309,"journal":{"name":"中华内科杂志","volume":"64 2","pages":"101-109"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143043802","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Hypertrophic obstructive cardiomyopathy associated with Fabry disease: a case report]. 肥厚性梗阻性心肌病合并法布里病1例

中华内科杂志 Pub Date : 2025-02-01 DOI: 10.3760/cma.j.cn112138-20240628-00409

Y K Liu, Q P Shi, X Y Luo, W Ma

引用次数: 0

[An ADTKD pedigree discovered from Fabry disease screening]. [从法布里病筛查中发现的ADTKD谱系]。

中华内科杂志 Pub Date : 2025-02-01 DOI: 10.3760/cma.j.cn112138-20241027-00707

X Y Zhu, C C Yu, S L Zhao, Y Han, F Zhao, A H Zhang, G X Ding

引用次数: 0

[A case of 11β-hydroxylase deficiency complicated with bilateral adrenal myelolipoma]. [11β-羟化酶缺乏症并发双侧肾上腺骨髓脂肪瘤一例]。

中华内科杂志 Pub Date : 2025-02-01 DOI: 10.3760/cma.j.cn112138-20240703-00421

M Lin, Z Z Zhou, Z Y Li, F J Huang, X M Gao, D M Li, H J Zhang